| Mid Valley Counseling Center Inc | |
|
2250 D St Ne Salem OR 97301-2768 | |
| (503) 364-6093 | |
| (503) 364-5121 |
| Full Name | Mid Valley Counseling Center Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2250 D St Ne, Salem, Oregon |
| Authorized Official Name and Position | Gailen L Keeling (SECRETARY/TREASURER OF MVCC) |
| Authorized Official Contact | 5033646093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Valley Counseling Center Inc 2250 D St Ne Salem OR 97301-2768 Ph: (503) 364-6093 | Mid Valley Counseling Center Inc 2250 D St Ne Salem OR 97301-2768 Ph: (503) 364-6093 |
| NPI Number | 1407039308 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/16/2014 |
| Medicare PECOS PAC ID | 2769479948 |
|---|---|
| Medicare Enrollment ID | O20040429000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407039308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Joel A Gregor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982738498 PECOS PAC ID: 7719042886 Enrollment ID: I20090224000757 |
| Provider Name | Arvilla M Claussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639244015 PECOS PAC ID: 1355494121 Enrollment ID: I20090728000284 |
| Provider Name | Paul Stoltzfus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841365210 PECOS PAC ID: 1254526783 Enrollment ID: I20101110000863 |
| Provider Name | Wayne C Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700951183 PECOS PAC ID: 1658538095 Enrollment ID: I20120213000650 |
| Provider Name | Randall L Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154498269 PECOS PAC ID: 3173786068 Enrollment ID: I20120511000108 |
| Provider Name | Carlos A Taloyo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043655426 PECOS PAC ID: 1456592781 Enrollment ID: I20130729000500 |
| Provider Name | Deborah Leann Galindo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891249298 PECOS PAC ID: 0749522332 Enrollment ID: I20190501000774 |
| Provider Name | Michael P Tremko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639509888 PECOS PAC ID: 5496061483 Enrollment ID: I20200805001237 |
| Provider Name | Paul T Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588079826 PECOS PAC ID: 3173939535 Enrollment ID: I20210309002515 |
| Provider Name | Sandra L Stradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245341148 PECOS PAC ID: 0648678318 Enrollment ID: I20220217000939 |
| Provider Name | Mark R Mcminn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598822892 PECOS PAC ID: 6204204241 Enrollment ID: I20221122001777 |
| Provider Name | Winston Seegobin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760526412 PECOS PAC ID: 0042505927 Enrollment ID: I20230331001493 |
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